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Assessment of Perceived Facial Age Changes Following Orthognathic Surgery Using Artificial Intelligence
Özlem Elverişli1, Hilal Alan2, Ümit Yolcu3
1Fulya Oral and Dental Health Polyclinic, Tekirdag 59000, Türkiye.
Healthcare (Basel, Switzerland)
|July 28, 2026
Summary
Orthognathic surgery did not significantly alter AI-estimated facial age. However, patients reported reduced social appearance anxiety and increased flourishing post-surgery, though these findings require further validation.
Area of Science:
- Plastic Surgery
- Artificial Intelligence
- Psychology
Background:
- Orthognathic surgery corrects dentofacial deformities, impacting facial aesthetics and function.
- Evaluating the psychological effects of orthognathic surgery is crucial for patient outcomes.
Purpose of the Study:
- To assess orthognathic surgery's effect on perceived facial age using AI.
- To examine changes in self-rated flourishing and social appearance anxiety post-surgery.
Main Methods:
- Retrospective study of 27 patients undergoing orthognathic surgery (BSSRO/Le Fort I).
- AI tool 'AgeBot' analyzed pre- and postoperative facial photographs for age estimation.
- Validated questionnaires assessed Social Appearance Anxiety Scale (SAAS) and Flourishing Scale (FS).
Main Results:
- AI-estimated facial age showed no significant change (p=0.818).
- Postoperative SAAS scores were significantly lower (p<0.001), indicating reduced anxiety.
- Postoperative FS scores were significantly higher (p=0.014), indicating increased flourishing.
Conclusions:
- Orthognathic surgery did not significantly alter AI-estimated facial age in this cohort.
- Improved psychosocial outcomes (reduced anxiety, increased flourishing) were observed.
- Further research with validated tools is needed to confirm AI's role in outcome assessment.
